CTG monitoring with a decision aide to reduce Caesarean delivery Pregnancy and Childbirth
Conditions
Interventions
Participants are randomly allocated to one of two groups:
1. Intervention group receive CTG with an a decision aide
2. Control group receive CTG only (and fetal blood sampling, if necessary)
Sponsors
Second Municipal Hospital for Obstetrics and Gynaecology Sheynovo / Bulgarian Christmas 2007-2011 Charity Initiative (Bulgaria)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women admitted to labour ward who: 1. Were aged 18 years and older 2. Had a singleton pregnancy 3. Had an baby in cephalic position 4. Presented with no ultrasound/laboratory evidence of structural abnormalities of the baby
Exclusion criteria
Exclusion criteria: Women admitted to labour ward who: 1. Were aged <18 years 2. Had multiple gestations 3. Had a baby with an abnormal lie 4. Had a baby with known structural abnormalities as confirmed through ultrasound of laboratory testing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Occurrence of hypoxia (pH <7.20) 2. Occurrence of acidaemia (pH <7.05) 3. Caesarean delivery 4. Forceps extraction | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Apgar score <7 at 5 minutes 2. Neonatal seizures 3. Admission to NICU All outcomes are immediately after birth with the exception of neonatal seizures and NICU admission. Neonatal seizures and NICU admission are within the first 24 hours after delivery | — |
Countries
Bulgaria
Outcome results
None listed